Id 779 Clinical Profile, Degree Of Involvement And Therapeutic Management Of Patients With Arthritis In Primary Care: The Evalua Project

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Author(s): 
Pita Fernández S, Pértega Díaz S, Castaño Carou A, and Grupo EVALUA
Spain
salvador.pita.fernández@sergas.es
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Aim(s) or purpose: To determine the clinical profile, degree of involvement and therapeutic management of patients with arthritis of the knee, hip and hands.
Design and method: Study: Prevalence study. Setting: Randomly selected Health Centres from 14 Autonomous Regions (n = 363 doctors). Period: September 2004-November 2006. Sample: Patients with clinical and/or radiological criteria of the American College of Rheumatology (ACR) for arthritis (n = 1258) (Age: 68.0 ± 9.5 years, 77.8 % female). Measurements: Socio-demographic variables, clinical-radiological findings, concomitant pathology, therapeutic management.
Results: The mean evolution time of arthritis is 9.4 ± 7.5 years, with 1060 (84.3 %) presenting arthritis of the knee, 295 (23,4 %) of the hip and 185 (14,7 %) of the hands. For knee arthritis, the most frequent clinical symptoms are: pain (100 %), crepitus (82.6 %) and morning stiffness (82,4 %). For hip: pain (100 %), pain on internal rotation (81.7 %) and morning stiffness (79.7 %). For arthritis of the hands: pain (100 %), joint stiffness and discomfort (100 %), joint hypertrophy of a hard consistency in ? 2/10 joints (100 %) and swelling in Conclusions: The profile of patients suffering from arthritis are women over the age of 65, with Co-morbidity, frequent clinical symptoms, pain and moderate involvement by arthritis. Paracetamol is the most widely used drug. The mean dose is lower than that recommended by The European League against Rheumatism (EULAR) and the ACR.
Literature: 
ID
779 Clinical profile, degree of involvement and therapeutic management of patients with arthritis in primary care: the EVALUA project